1. Developing a connected health economy in Northern Ireland Dr Andrew McCormick Permanent Secretary, Department of Health, Social Services and Public Safety, Northern Ireland Open Days 2008 Health Village Sessions EHealth: from early promise to sustainable solutions 9th October 2008

2. Strategic Context: Key Issues Facing Health And Social Care In Northern Ireland Increasing Demand (Demographic Change) Quality, Safety, Accessibility Performance Management Resource constraint

3. Strategic Context: Policy Response Pursuit of public health promotion/disease prevention strategies Development of early intervention strategies, promoting and securing community alternatives to hospital referral and admission Introduction of innovative approaches to manage demand better Better use of ICT, combined with reform of care delivery system

4. Developing A Connected Health Economy In Northern Ireland: Initial Commitments A Strategic Focus Commitment of Major Investment in Chronic Disease Management Improving Infrastructure: Roll out Digital Picture Archiving System across Northern Ireland Major Procurement of Remote Monitoring Service for 5000 people with Chronic Disease commenced Implementation of a number of Telehealth and Telecare Pilots to increase Clinician and Patient experience of new approaches Development of 5-7 year Connected Health Strategy

5. Procurement of Remote Monitoring Service Challenge of going to a scale application Still only a step towards addressing the population needs given trends in chronic disease Service to comply with existing and emerging industry standards for Interoperability to promote patient safety, service integration, flexibility in choice and range of equipment and to support patient mobility OJEU – 26 August Expecting positive market response

6. Achieving Sustainability: Learning Points To Date Ministerial support Aims and objectives aligned to existing policy framework Need to demonstrate effectiveness through the evidence base Buy-in at operational level – clinicians and managers Support of Professional Bodies Focus on Quality, Safety and Patient Experience (Efficiency is a By-Product)

7. Achieving Sustainability: Learning Points To Date Pilots helpful but need to be strategically aligned and of sufficient scale Service design process must be clinician-led and user focused Identification of Clinical Champions vital Early engagement with industry to inform thinking is invaluable Ensure specification is ‘owned’ by commissioners and service providers Need to build process into system accountability framework Acknowledge that this takes time

8. Where to next? 5-7 year, connected health and care strategy - Community programmes Contributing to the evidence base to demonstrate effectiveness Sharing our experiences with others Develop better links with other Health Economies, Industry and Academia